A Study on Causes for Hysterectomy in Bangladesh

Abstract

Background: Hysterectomy is one of the most common gynecological surgeries performed worldwide, including in Bangladesh, where concerns are rising over the frequency and justification of the procedure, particularly among younger women. Objective: The aim of this study was to assess the causes leading to hysterectomy and evaluate the demographic and clinical profiles of women undergoing the procedure in a clinic-based setting in Bangladesh. Method: This randomized prospective study was conducted at Khalishpur Clinic from January 2018 to April 2024. A total of 366 women who underwent hysterectomy during this period were included. Data were collected using a structured proforma documenting patient demographics, reproductive history, and clinical diagnoses. Descriptive statistics were used to analyze the data and identify common patterns and causes. Results: The mean age of the participants was 45.7 ± 11.7 years, with 75% having two to four children, indicating completion of childbearing. Adenomyosis was the most prevalent cause of hysterectomy (79.5%), followed by fibroids (41.8%), and chronic cervicitis (21.3%). Other causes included uterine prolapse (16.1%), endometriosis (3.0%), and endometrial hyperplasia (1.9%). Notably, 50% of women had two co-existing gynecological conditions, while 16.7% presented with three to five, underscoring the complexity of clinical presentations. Conclusion: The study reveals that hysterectomy in Bangladesh is predominantly performed in women in their mid-40s with completed childbearing.